Dr. Pavan Kumar Gupta, MD
Dr. Pavan Kumar Gupta, MD is a Cardiovascular Disease (Cardiology) in O Fallon, Illinois. Graduated from University of Pittsburgh School of Medicine in 2004, 22 years ago. Practices with St Elizabeths Hospital of the Hospital Sisters of the Third Order, a 29-clinician group and accepts Medicare assignment. Licensed in Illinois, Michigan and Rhode Island.
- Years since qualifying
- 22
- Trained at
- University of Pittsburgh School of Medicine
- Licensed in
- IL, MI, RI
- In the registry since
- 2007
- Specialties on file
- 5
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Three Saint Elizabeth Blvd Ste 2800O Fallon, IL 62269-1282
Phone: (618) 233-6044
Fax: (833) 973-4218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Cardiovascular Disease Physician (primary) | Taxonomy 207RC0000X · Licence 036130576 (IL) |
|---|---|
| Hospitalist Physician | Taxonomy 208M00000X · Licence 4301083827 (MI) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 4301083827 (MI) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence MD13290 (RI) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 4301083827 (MI) |
Record details
| NPI number | 1861519563 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 26, 2007 |
| Last updated in NPPES | December 21, 2021 |
| Certification date | December 21, 2021 |
| Mailing address | Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 |
Medicare enrollment
| Medicare specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
|---|---|
| Also practises | INTERNAL MEDICINE |
| Medical school | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduated | 2004 (22 years in practice) |
| Group practice | St Elizabeths Hospital Of The Hospital Sisters Of The Third Order — 29 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in O Fallon
-
Dr. Robinder Singh Sahi, MD
3 St Elizabeth Blvd Ste 400, O Fallon, IL 62269-1284 · (618) 233-7880